Approaching Acutes in Homeopathy
Author: Dr. Gajanan Dhanipkar, M.D. (Hom), Consultant and Faculty, the other song
The art of Homoeopathy lies entirely in understanding the patient, and a good case-taking forms a bedrock to it. There are many aspects which form the basis of a good case-taking, and the most fundamental requirement from the homeopath is an unprejudiced observation. One question that haunts many a senior homoeopath is how to go into the experience of the patient. How does one choose the entry point to enter deeper towards experience of the patient? How does one know if the patient’s expressions are temporary or are they fundamental to the patient? Is it important to find out what is holistic to the case, to see the common theme in patient’s expressions?
Case of Dengue with Rash
A 10-year-old female, brought in by his parents, was consulted by Dr. Gajanan Dhanipkar for high grade fever with chills on 21st September, 2014. The patient presented with redness of face and his body temperature measured orally was 103.40 F. The fever was constant over the past 3 days. With this the patient also complained of itching skin and pain in the shoulders. Her appetite had increased during fever. Mentally she felt very dull and wanted to sleep all the time.
The other concomitants observed for the case were dryness of lips, thirst for cold water and profuse lachrymation. On examination she had rash on her palms with papular eruptions. There was no perspiration at all during any stage of fever. The patient was in a lot of distress when awake and was better when soothed by her parents that she would soon be alright.
The paediatrician diagnosed her as having dengue based on physical examination and investigations and advised that she be hospitalized immediately. The parents who were keen followers of Homoeopathy, decided to wait and consult their homoeopath instead.
In the entire presentation of fever, we see the following set of peculiar signs and symptoms:
- Fever with chills
- Hunger fever during
- Thirst increased
- Desire for cold water
- Redness of the face during fever
- Rest desires
- Magnetism amel
On repertorising these symptoms we get:
(CARA Homeopathy Repertory Software)
She received Phosphorus 1M thrice a day in plussing method. With this she was followed by twice a day.
Follow up – 22nd September, 2014
The rash had reduced and the redness of the face had disappeared. The fever was still continuous but had dropped down to 101. 2 0 F . The thirst was lesser than before. The appetite had improved a bit and she had some food when her mother forcibly fed her. The weakness was better than the day before. The patient complained of pain in abdomen and the parents said that she had not passed stool since morning. She had chills at night for a few hours. Her lips were dry and she desired cold water. The parents also observed that she was more irritable today.
Follow up – 23th September, 2014
Her fever had come down and she did not have any episode of chills. Her appetite was improved. She developed rash, red and almost urticarial in presentation all over her body. She had burning in eyes with dryness of throat. Her sleep was normal. Her sleep was now sound and she took covering when asleep. Her thirst was still profuse but lesser than before. Mentally and physically she was very restless due to fever and bodyache.
On the basis of the above information, a new totality was formed consisting of her physical and general symptoms.
(CARA Homeopathy Repertory Software)
She received Rhus tox 200 in plussing method, four times a day.
FOLLOW UP – 26th September, 2016:
The patient did not have any fever or rash. Her weakness was much better. Her thirst had come back to normal. She still had some pains and little restlessness so the medicine was continued for a day more. The next day she was completely normal and had none of the symptoms she had come in with. All the medicines were discontinued and she was observed for the next week during which there was no recurrence of any of her symptoms.
About Dr. Gajanan Dhanipkar:
Dr. Gajanan Dhanipkar has been practicing now since the last 16 years, mainly in Thane &Ambernath. He is a guest lecturer at various institutes viz. J.J Magdum Homoeopathic Medical College Sangli, Jaisingpur, Bhagwan Medical College, Aurangabad &Kharghar Medical College, Navi Mumbai. His further contributions include a paper on ‘Study of carnivorous plants & homoeopathic understanding’ presented at the National Conference at Bhubneshwar in 2003, cases featured in various homoeopathic journals, as well as in the book ‘An Insight into Plants- Volume 3’ by Dr. Rajan Sankaran. He has been regularly teaching in the basic and advanced courses in the Sensation Method conducted by Homoeopathic Research & Charities. In addition, he also conducts courses in the Sensation Method for homoeopathic physicians in the vicinities of Thane &Ambernath. He is known for his unique style of case taking & case analysis amongst his students who have learnt in his clinic.
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